Individual
MAURA ILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 301-0002
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0016486
CO
Other
Enumeration date
07/14/2019
Last updated
02/19/2024
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